Case Report: Trans-thoracic Cholecystectomy
- *Corresponding Author:
- BhScott M. Wilhelm, MD
Department of General Surgery
11100 Euclid Ave, Cleveland
OH 44106, USA
E-mail: [email protected]
Received date: February 25, 2015; Accepted date: April 22, 2015; Published date: April29, 2015
Citation: Wojnarski CM, Robke JM, Wilhelm SM (2015) Case Report: Transthoracic Cholecystectomy: A Nationwide Randomized Controlled Trial. Surgery Curr Res 5:229. doi:10.4172/2161-1076.1000229
Copyright: © 2015 Wojnarski CM, et al. This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original author and source are credited.
A 52 year-old female with a history of remote trauma requiring laparotomy presented with acute cholecystitis. She was transferred from an outside hospital following failed laparoscopic converted to attempted open cholecystectomy. The referring surgeon reported an inability to reach the gallbladder. CT scan revealed a significantly elevated, right hemidiaphragm suspicious for diaphragmatic hernia. Percutaneous cholecystostomy was performed and her acute cholecystitis resolved. Six weeks later, to definitively treat her symptomatic cholelithiasis, a unique combined approach between Thoracic and General Surgery utilizing VATS, a right thoracotomy, and an intra-operative, ultrasound guided trans-diaphragmatic cholecystectomy.